Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.60 / $486.85 / $2,747.00	Facility		$242.60	$486.85	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.99 / $360.63 / $562.01	Professional		$221.99	$360.63	$562.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.89 / $363.79 / $563.42	Professional		$309.89	$363.79	$563.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,353.00 / $8,517.00	Facility		$1,643.00	$3,353.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.62 / $294.69 / $467.95	Professional		$235.62	$294.69	$467.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.34 / $319.06 / $362.12	Facility		$236.34	$319.06	$362.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.24 / $413.18 / $600.99	Professional		$281.24	$413.18	$600.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.33 / $434.87 / $1,829.00	Facility		$296.33	$434.87	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.26 / $414.35 / $751.19	Professional		$272.26	$414.35	$751.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $488.31	Professional		$32.34	$32.34	$488.31
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.10 / $444.69 / $736.22	Professional		$342.10	$444.69	$736.22